Observation and study on the effect of predictive nursing intervention on pulmonary infection and recovery in ICU hypertensive intracerebral hemorrhage patients
预见性护理干预对ICU高血压性脑出血患者肺部感染及恢复效果观察研究

摘要

目的 分评估预见性护理干预对ICU高血压性脑出血患者肺部感染预防及康复进程的影响。方法 选取2022年1月至2024年1月期间，我院ICU接收的68例高血压性脑出血患者，随机均分为对照组（接受常规护理）与观察组（实施预见性护理），各34例。对比两组患者的神经功能恢复状况及肺部感染等并发症的发生率。结果 在护理干预前，两组患者的神经功能缺损评分相近，无显著差异（P＞0.05）。然而，在干预后7天、14天及30天，观察组患者的神经功能缺损评分均明显低于对照组，且肺部感染等并发症的总发生率也显著低于对照组，差异具有统计学意义（P＜0.05）。结论 对ICU高血压性脑出血患者实施预见性护理干预，能显著提升其神经功能恢复效果，有效减少肺部感染等并发症，具有较高的临床实用价值。

Abstract

Objective To evaluate the impact of predictive nursing intervention on the prevention of pulmonary infection and rehabilitation process in ICU hypertensive intracerebral hemorrhage patients.
Methods Sixty eight patients with hypertensive intracerebral hemorrhage admitted to our ICU from January 2022 to January 2024 were randomly divided into a control group (receiving routine care) and an observation group (receiving anticipatory care), with 34 patients in each group. Compare the neurological recovery status and incidence of complications such as pulmonary infection between two groups of patients.
Results Before nursing intervention, the neurological deficit scores of the two groups of patients were similar, with no significant difference (P>0.05). However, at 7, 14, and 30 days after intervention, the neurological deficit scores of the observation group were significantly lower than those of the control group, and the total incidence of complications such as pulmonary infection was also significantly lower than that of the control group, with statistical significance (P<0.05).
Conclusion   Implementing predictive nursing interventions for ICU hypertensive intracerebral hemorrhage patients can significantly improve their neurological function recovery, effectively reduce complications such as pulmonary infections, and have high clinical practical value.